The event involved a 168 cm (66") appx 2.4 ml, pur yellow smallbore ext set, 3-port nanoclave¿ manifold w/check valve, nanoclave¿, nanoclave¿ 4-way stopcock (red ring), rotating luer where the customer reported that leaked during patient infusion of parenteral nutrition was administered.The customer stated that at 7 a.M.At the time shift change, observation of a leak at the level of the screw thread between the yellow icu tubing and the start of the manifold.The customer stated that this is a risk for infection, risk of gas embolism.The device and the infusion were changed.The event happened when the device was put in place.The treatment was not fully administered.No loss of blood.The medication did not come in contact with the patient and healthcare provider.No visible default on the device before use.No tear, no hole, no cut noticed.The lot number is unknown because the packaging was not preserved.The customer further stated that there were no clinical consequences for the patient.No adverse event/human harm.No need of medical intervention.Nobody was harmed.
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